Medicare Pricing & Reimbursement Analyst

HCSC Group

Albuquerque, Northern (NM, KY)

Hybrid

USD 42,000 - 93,000

Full time

6 days ago

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Job summary

HCSC Group in Albuquerque, NM is seeking a Pricing Coordinator to provide technical direction on Medicare Part B pricing methodologies, CMS rules, and provider reimbursement rates. The role includes monitoring Part B pricing procedures and evaluating impacts on Indian Health Service FI processes; ensuring current rates are loaded and distributed to staff.

Qualifications include a bachelor degree in Math, Statistics, or Computer Science or 4 years in health care, plus experience with Excel and

Qualifications

Bachelor's degree in Math, Statistics, or Computer Science OR 4 years experience in the health care industry.
1 year experience with databases such as Access and spreadsheets such as Excel.
1 year experience in a position that requires data analysis.
Knowledge of healthcare finance and reimbursement methodologies, including provider contract execution.
Verbal and written communication skills.
Math skills.
Self-starter with the ability to meet deadlines.

Responsibilities

Provide technical direction on defining and implementing Medicare Part B pricing methodologies.
Monitor Medicare Part B pricing procedures and evaluate impact on FI processes.
Obtain current Medicare rates and ensure staff have access to loaded rates.